NPI | 1366702292 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMEEL AHAMED Office Biller 847-227-0293 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 209007392) |
Enumeration Date | 2012-05-25 |
Last Update Date | 2014-06-06 |